Down Fracture- A Podcast for Talkin' Jaws

Drs. Wasson and Bobek
  • 5.0 (7)
  • Education
  • Updated Semiweekly

Standing firmly somewhere between the worst and best jaw surgery podcasts of all time, we bring you Down Fracture, A Podcast for Talkin' Jaws. Down Fracture is intended for Oral & Maxillofacial Surgeons and other healthcare professionals interested in learning about jaw surgery. Topics will include Orthognathic surgery, TMJ surgery, Obstructive Sleep Apnea Surgery, and more. This podcast is hosted by Drs. Bobek and Wasson whose practices are limited to Orthognathic, TMJ, and OSA Surgery.

  1. 1d ago

    Controversial Takes in Jaw Surgery | Part 1

    In this episode, Dr. Bobek and Dr. Wasson try something a little different, taking turns presenting hot takes and arguing opposite sides. The discussion surfaces useful clinical nuance along the way. Topics covered in this episode: - Aligners vs traditional braces for surgical orthognathic cases: bracket safety in the OR, setup efficiency, post-op relapse, and whether provider comfort is driving the preference for braces - Sagittal split osteotomy cut depth: whether 3D imaging and known nerve position justifies taking saw cuts deeper than just through cortex, and where that might prevent bad splits - Mandible fixation after BSSO: the case for always using a plate and positional screws together, hardware removal rates, and how each host approaches fixation based on movement size and bone quality - Transmucosal pterygomaxillary disjunction vs traditional technique: where the approach came from, the theoretical benefits, and whether the concerns about blood supply and mucosal tears hold up in practice 📬 Questions or topic suggestions: downfracturedpodcast@gmail.com The Down Fracture Podcast is for informational and entertainment purposes only and does not constitute medical advice. All opinions expressed are solely those of the hosts and their guests. #OrthognathicSurgery #JawSurgery #OMFS #OralSurgery #AlignersVsBraces #DownFracturePodcast #TalkingJaws #BSSO #SagittalSplit #ClearAligners #SurgicalOrthodontics #MedicalPodcast #DentalPodcast #JawSurgeryDebate #HotTakes

    52 min

  2. May 19

    Overcorrection, Relapse, and Surgical Planning in Jaw Surgery

    In this episode, Dr. Bobek and Dr. Wasson discuss overcorrection in orthognathic surgery, covering how their thinking on the topic has shifted with experience and what they currently do in practice for different jaw movements. Topics covered in this episode: Anterior open bite overcorrection and when segmenting the maxilla is worth consideringClass 2 correction: whether leaving patients tight still makes senseClass 3 correction and how much AP overcorrection is reasonableTransverse overcorrection in maxillary widening cases and dental vs. skeletal relapseVertical overcorrection in maxillary augmentation casesAsymmetry correction and the risks of overcorrecting to the opposite sideThe impaction-to-advancement ratio and why both hosts have moved away from itAccuracy of virtual surgical planning and what superimpositions tend to showCustom hardware and whether it changes the relapse pictureHow dental relapse and skeletal relapse differ and why that distinction matters for planning📬 Questions or topic suggestions: downfracturedpodcast@gmail.com The Down Fracture Podcast is for informational and entertainment purposes only and does not constitute medical advice. All opinions expressed are solely those of the hosts and their guests.

    41 min

  3. May 13

    Arthroscopy, Open Joint Surgery, And Other TMJ Myths With Dr. Moe Hakim

    In this episode, Dr. Bobek and Dr. Wasson are joined by Dr. Moe Hakim, an oral and maxillofacial surgeon based in Arlington, Virginia. Dr. Hakim's practice focuses on TMJ surgery and orthognathic surgery, and he has been publishing on arthroscopic outcomes and PRF in the TMJ space. Topics covered in this episode: Whether open joint surgery still has a place in contemporary TMJ practiceArthrocentesis vs. arthroscopy: are they equivalent, and when does it matterLevel 3 arthroscopy and discopexy: indications, outcomes, and why Dr. Hakim does it less than he used toPRF for painful clicks and crepitus: how he uses it and what his outcomes look likeThe disc displacement obsession and why disc position may matter less than we thinkAcute vs. chronic closed lock and how the duration changes the surgical approachThe role of orofacial pain specialists in the TMJ care pathwayRegional and institutional variation in how TMJ surgery is perceived and practicedWhy "surgery is a last resort" framing is worth examining Dr. Hakim's Instagram: @thetmjandjawsurgeon 📬 Questions or topic suggestions: downfracturedpodcast@gmail.com The Down Fracture Podcast is for informational and entertainment purposes only and does not constitute medical advice. All opinions expressed are solely those of the hosts and their guests.

    1h 12m

  4. May 6

    TMJ Total Joint Prosthetic Design and Complications with Dr. Mercuri

    In this episode, Drs. Wasson & Bobek are again joined by Dr. Lou Mercuri to get into the weeds on the TMJ prosthetic materials, metal testing, and current protocols for prosthetic joint infections.

    1h 15m

  5. Apr 28

    Bridging the Gap Between ENT and Jaw Surgery for Sleep Apnea with Dr. Michael Olson

    In this episode, Dr. Bobek and Dr. Wasson are joined by Dr. Michael Olson, an otolaryngologist and facial plastic and reconstructive surgeon at Mayo Clinic with a fellowship in sleep surgery. Dr. Olson is one of a small number of ENTs who consistently performs orthognathic surgery for OSA, which makes for an interesting conversation about how the two specialties approach sleep surgery differently and where they overlap. Topics covered in this episode: - Why the Stanford Step Protocol developed the way it did and how surgical risk perception has shaped referral patterns - Who benefits from soft tissue surgery, Inspire, and jaw surgery and how to think about each - Age considerations for orthognathic surgery vs. airway stimulation - Inspire tolerance issues and what that means in practice - Maxillary expansion for sleep apnea: appropriate use vs. overuse - Residual sleep apnea after MMA and next steps - Dr. Olson's approach to septoplasty before LeFort - Nasal congestion management post-LeFort - Practical notes on ENT and OMFS collaboration in the sleep space 📬 Questions or topic suggestions: downfracturedpodcast@gmail.com The Down Fracture Podcast is for informational and entertainment purposes only and does not constitute medical advice. All opinions expressed are solely those of the hosts and their guests.

    1h 2m

  6. Apr 21

    Surgery First vs. Traditional Orthognathics | Down Fracture Podcast

    Is surgery first orthognathics the future or a shortcut with real tradeoffs? In this episode, Dr. Bobek and Dr. Wasson dig into one of the most debated topics in surgical-orthodontic treatment: whether jaw surgery should come before braces, and when it actually makes sense to do it. This episode gives you a frank look at how two oral and maxillofacial surgeons actually think about this in practice. 📬 Have a topic or question? Email us: downfracturedpodcast@gmail.com The Down Fracture Podcast is for informational and entertainment purposes only and does not constitute medical advice. All opinions expressed are solely those of the hosts.

    1h 3m

  7. Apr 15

    Anesthesia in Jaw Surgery with Dr. Max Lucero

    In this episode, Dr. Sam Bobek and Dr. Michael Wasson are joined by Dr. Vince Maxim Lucero, a pediatric and oral and maxillofacial anesthesiologist with over 40 years of experience, trained at Yale, the University of Washington, and the Hospital for Sick Children in Toronto. They cover how anesthesia for jaw surgery has evolved over the decades, including blood pressure management, hypotensive anesthesia techniques, the A-line debate, post-op nausea prevention, nasal intubation tips, surgeon-anesthesiologist communication, and what it actually takes to run outpatient orthognathic surgery safely. Topics discussed: — How anesthesia drugs and monitoring have changed since the 1980s — Why outpatient jaw surgery works (and when it doesn't) — The A-line debate: is it necessary? — Managing blood pressure without just cranking the gas — Post-op nausea: TXA, scopolamine patches, NG tubes, and more — What anesthesiologists wish surgeons understood — Building a surgeon-anesthesiologist relationship that actually works ---Disclaimer: The Down Fracture Podcast is intended for healthcare professionals and is for informational and educational purposes only. Nothing discussed in this episode constitutes medical advice, clinical guidance, or a standard of care. Clinical decisions should always be made in consultation with qualified medical professionals and with consideration of individual patient circumstances. The views expressed are those of the hosts and guests and do not represent any institution or employer.

    1h 14m

  8. Apr 8

    Moving the Maxilla Back

    In this episode, Drs. Bobek and Wasson discuss moving the maxilla posteriorly.

    30 min
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Ratings & Reviews

5
out of 5
7 Ratings

About

Standing firmly somewhere between the worst and best jaw surgery podcasts of all time, we bring you Down Fracture, A Podcast for Talkin' Jaws. Down Fracture is intended for Oral & Maxillofacial Surgeons and other healthcare professionals interested in learning about jaw surgery. Topics will include Orthognathic surgery, TMJ surgery, Obstructive Sleep Apnea Surgery, and more. This podcast is hosted by Drs. Bobek and Wasson whose practices are limited to Orthognathic, TMJ, and OSA Surgery.

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